Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,630.78 / $9,549.93	Facility		$1,023.29	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,778.28	Professional		$891.25	$1,071.52	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,595.87 / $22,908.68	Facility		$8,709.64	$16,595.87	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,698.24	Professional		$891.25	$1,202.26	$1,698.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,548.82	Professional		$954.99	$1,202.26	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,949.84	Professional		$912.01	$1,230.27	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $2,570.40	Professional		$831.76	$1,023.29	$2,570.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,238.72	Professional		$1,202.26	$1,513.56	$2,238.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,348.96 / $1,995.26	Facility		$954.99	$1,348.96	$1,995.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,288.25 / $5,248.07	Facility		$851.14	$1,288.25	$5,248.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $5,248.07	Professional		$851.14	$1,288.25	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $7,079.46	Facility		$1,698.24	$3,467.37	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $2,041.74	Professional		$794.33	$1,174.90	$2,041.74